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Laboratory Administration
Leading / Interfacing
Leading / Connecting in the Hospital or Healthcare System

Reviewer: Richard Horowitz, M.D. (see Reviewers page)
Revised: 24 April 2013, last major update April 2013
Copyright: (c) 2012-2013, PathologyOutlines.com, Inc.



  1. Knowledge of health care economics
  2. Empathy toward the problems faced by hospital administration
  3. Knowledge of hospital organization
  4. Regularly scheduled, monthly, formal meeting with the administrator in charge of the Laboratory with an agenda that includes: review of workload, revenue, budget variance and productivity; there should be discussion of needs, problems, incidents, any awards received or papers published
  5. The pathologist should establish rapport (professional and social) with the COO, CEO and CFO and with key people in the sponsoring organization, e.g., religious order, municipal or county boards and governing bodies

Some Things to Do

  1. Conduct daily "administrative" rounds - walk by the offices of the various administrators, just to say "hello" or to see if they want to get a cup of coffee - or at least say "hello" to their secretaries
  2. Maintain a high level of visibility; continually remind administration how critical you are to the operation of one of their largest departments in terms of overall management responsibility, test selection, assurance of quality, result interpretation, adherence to regulations, medical-legal responsibility and cost control
  3. Prepare an Annual Report of the laboratory's activities, demonstrating that the pathologist is indispensable
  4. Participate in the laboratory and hospital budgeting process
  5. Participate in hospital committees such as Utilization Review, Joint Commission Inspections, Purchasing, Information Technology
  6. Participate in hospital events, e.g. Christmas parties for employees
  7. Volunteer to be active in, and contribute to fund raising campaigns
  8. Conduct nursing "rounds" - visit each nursing station in the hospital at least once a month to find out if the laboratory services are satisfactory; this establishes a relationship between the pathologist and the rest of the hospital; take the chief tech with you - the nurses and the doctors you encounter will see who is in charge and the chief tech can implement needed changes; report both problems and compliments back to the laboratory personnel
  9. Volunteer for in-service educational programs for nurses and other hospital personnel, e.g. seminar for chaplains regarding autopsies
  10. Volunteer to be the medical information officer for the hospitals information system - no physician is better suited than the pathologist to fill this role since the pathologist is an expert in computers, automation, QC and QA as well as disease and practice management
End of Laboratory Administration > Leading / Interfacing > Leading / Connecting in the Hospital or Healthcare System

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